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移植后淋巴细胞增生性疾病中CD30表达的发生率及预后相关性

Occurrence and prognostic relevance of CD30 expression in post-transplant lymphoproliferative disorders.

作者信息

Vase Maja Ølholm, Maksten Eva Futtrup, Bendix Knud, Hamilton-Dutoit Stephen, Andersen Claus, Møller Michael Boe, Sørensen Søren Schwartz, Jespersen Bente, Kampmann Jan, Søndergård Esben, Nielsen Patricia Switten, D'amore Francesco

机构信息

Department of Hematology, Aarhus University Hospital , Aarhus , Denmark.

出版信息

Leuk Lymphoma. 2015 Jun;56(6):1677-85. doi: 10.3109/10428194.2014.966242. Epub 2015 Jan 21.

Abstract

Post-transplant lymphoproliferative disorders (PTLDs) are potentially fatal, often Epstein-Barr virus (EBV)-driven neoplasias developing in immunocompromised hosts. Initial treatment usually consists of a reduction in immunosuppressive therapy and/or rituximab with or without chemotherapy. However, patients who relapse do poorly, and new treatment options are warranted. With the introduction of the immunoconjugate brentuximab vedotin, the CD30 antigen has become an effectively targetable molecule. Therefore, we investigated the frequency and level of CD30 expression in PTLDs. We identified 108 patients with PTLDs diagnosed during 1994-2011, of whom 62 had adequate paraffin-embedded tissue for tissue microarray construction. Immunohistochemical expression of CD30 was consistently detected in all types of PTLD (overall 85.25%), including the monomorphic subtypes, and was correlated with a more favorable outcome. For diffuse large B-cell lymphoma (DLBCL)-type PTLD this was regardless of EBV status, and remained significant in multivariate analysis. Cell-of-origin had no independent prognostic value in our series of DLBCL PTLD.

摘要

移植后淋巴细胞增生性疾病(PTLD)是具有潜在致命性的疾病,通常是在免疫功能低下宿主中由爱泼斯坦-巴尔病毒(EBV)驱动的肿瘤形成。初始治疗通常包括减少免疫抑制治疗和/或使用或不使用化疗的利妥昔单抗。然而,复发的患者预后较差,因此需要新的治疗选择。随着免疫缀合物brentuximab vedotin的引入,CD30抗原已成为一个可有效靶向的分子。因此,我们研究了PTLD中CD30表达的频率和水平。我们确定了1994年至2011年期间诊断出的108例PTLD患者,其中62例有足够的石蜡包埋组织用于构建组织芯片。在所有类型的PTLD(总体为85.25%)中均持续检测到CD30的免疫组化表达,包括单形性亚型,并且与更有利的预后相关。对于弥漫性大B细胞淋巴瘤(DLBCL)型PTLD,这与EBV状态无关,并且在多变量分析中仍然显著。在我们的DLBCL PTLD系列中,细胞起源没有独立的预后价值。

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